Organization
ALL-WAYS J1'S CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICA HILL (OWNER)
(904) 315-0437
Entity
Organization
Contact information
Practice address
4084 PIER STATION RD E, GREEN COVE SPRINGS, FL 32043-8857
(904) 315-0437
Mailing address
4084 PIER STATION RD E, GREEN COVE SPRINGS, FL 32043-8857
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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